Active NPI
Donna Dinette, AGPCNP
- Adult Health Nurse Practitioner
- Susanville, CA
National Provider Identifier
1174330146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95036945
- Practice address
- 1850 Spring Ridge Dr
Susanville, CA 96130-6100 - Phone
- (530) 251-5000
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95036945 | CA | Primary |
Addresses
Primary practice location
1850 Spring Ridge Dr
Susanville, CA 96130-6100
Mailing address
PO Box 33324
Reno, NV 89533-3324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251027002070 | CA | Practitioner - Nurse Practitioner | 2668961129 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Rural Health Clinics
Practice addresses (Care Compare)
1850 Spring Ridge Dr
Susanville, CA 96130-6100
Phone 53025150001515
Hospital & facility affiliations
- Banner Lassen Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95036945 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rural Health Clinics | Current | Accepting new patients | |
| Northeastern Rural Health Clinics | Current | Accepting new patients |
Locations
1850 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 251-5000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Westwood, CA
- NPI 1336150051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757203200000",
"number": "1174330146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33324",
"city": "RENO",
"state": "NV",
"postal_code": "895333324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SPRING RIDGE DR",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961306100",
"telephone_number": "530-251-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINETTE",
"first_name": "DONNA",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95036945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.